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1740351121
MICHAEL BROCK
BOSTON, MA
NPI
1740351121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 107584)
Enumeration Date
2006-11-10
Last Update Date
2007-07-09
Business Address
-- MICHAEL BROCK LICSW
7 HAVILAND ST
BOSTON, MA 02115-2683
Phone number: 617-267-0900
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Mailing Address
-- MICHAEL BROCK LICSW
7 HAVILAND ST
BOSTON, MA 02115-2683
Phone number: 617-267-0900
Copy
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